Percussion - ndiko kuti nzira? Percussion uye palpation

Treatment chero chirwere chinotanga kwokutanga mumuviri kuongororwa kunodiwa kuwana mamiriro murwere, mamiriro utano hwake uye kuti vagadze kubatana pakati munhu kwakakanganisa nhengo pamwe abnormalities mamwe nhengo mumuviri. The chikuru nzira muongororo vari: nhoroondo kupinza, pakuongorora murwere, auscultation, percussion uye palpation. unyanzvi izvi dzinodzidzisa kuongorora, nyore, kutengeka uye zvachose hazvikuvadzi kumurwere.

Percussion - nzira inoita kuziva kutyorwa ari kukura uye configuration pakati zvomukati, uzive nzvimbo yavo. Chinonzi tapping pamusoro muviri nomumativi kupima zvisaitike mutinhiro uyu, sezvo utano uye hosha zvinyama kuridza zvakasiyana. Kufanana palpation - ne anotevedzana kunzwa kurwara.

Zvinangwa percussion uye palpation

Akatakura percussion ane huru zvinangwa zviviri:

- kudzidza pamusoro kuchinja miviri mhepo tigutsikane mavari, uye kuvapo kana kusavapo zvokufonongonwa zvinhu;

- kuona miganhu, chimiro uye kukura zvomukati.

Kunzwa zvinobatsira:

- kuziva nehanya zvomukati uye nyama kwavo kwakaita nzvimbo yacho;

- anofungidzira tembiricha ganda, vascular pulsation intestinal motility;

- diagnosing bronchopulmonary zvokurwara;

- kuziva chimiro uye yezvakaita deformation, neoplasms.

Mhando percussion, palpation: nzira

Pane mhando mbiri chikuru percussion:

- yakananga percussion tapotement kunosanganisira chimwe kana kupfuura zvigunwe pamusoro murwere muviri pemvura.

- kunanga percussion rinoitwa kushandisa chero chinhu vasiyana muviri hwaakange anobudiswa uye tapping.

Pane dzakawanda nzira zvakananga percussion:

- nzira Yanovskogo F. G., riri kushandisa pulp inouraya phalanx pamusoro indekisi kana pakati nomunwe rworudyi;

- nzira Obraztsova VP, apo indekisi munwe, riri kurova, masiraidhi kure seri wechitatu munwe;

- Auenbryuggera nzira, inosanganisira tapping neminwe hafu-hwakakungwa uye akapeta pamusoro muchipfuva chake (kashoma kushandiswa nhasi);

- Kufambira percussion - ndiyo nzira kuita kuongorora achishandisa pulp reminwe akawanda, izvo zvinoita chaizvo zvakarurama kusarudza pamuganhu zviremera.

Kunanga percussion zvinogonawo kuitwa nenzira dzakawanda:

- munwe mhiri plessimetru;

- sando pamusoro plessimetru;

- munwe-munwe nzira.

Kunanga percussion - ndiro inonyatsobudirira ano nzira pakuongorora sezvo kushandisa plessimetra vakagamuchira kurira kwazvo uye zvakajeka.

Zvichienderana kudzika kunyudza minwe kana maoko ari Mucheka Munokudzwa:

- zvachero palpation. Inzira INDICATIVE, rokutanga ongororo. Inoshandiswa kuona tembiricha, mwando, arambe achirema uye aikanganiswa pakati munyama. Symmetric pamusoro stroking rubatsiro kuona hunhu pemvura, kuti kuzivisa chero inotungamirwa kana chisimbiso ganda, subcutaneous zvinyama, tsandanyama Makakatanwa dzakaonekwa mune maoko nemakumbo, shure, dumbu. Zvachero palpation kunogona kuitwa kana maoko chete kana maviri. Saka minwe riwedzere, kumanikidza pamusoro probed pamusoro hakufaniri.

- yakadzika palpation inoshandiswa kuongorora mamiriro mapazi uye nyama iri mumuviri rakadzika.

Nokuti manzwiro akasiyana tsandanyama, majoini, uye dzimwe nzvimbo anoshandiswa siyana dzomutauro wokubatwa palpation:

• Nokuti kudzidza tsandanyama, mapfupa pasi tsandanyama paiva vagari nzvimbo inoshandiswa palpation kwakadzama kunyudza muromo mumwe kana kupfuura mimwe.
• Nhengo dzose abdominal mhango anodzidzwa pachishandiswa yakadzika rinopfungaira palpation.
• In mukudzidza chiropa, abdominal bundu uye ascites vaishandisa jerky kumhanya kana palpation.
• Kuziva Urume kuunganidza ari ibvi chiremba anogona kushandisa minwe vakawanda jerky kumanikidzwa.
• Ongorora muchibereko chemusikana, ovaries, pelvic bundu, chiningoningo, mabvi uye kugokora majoini kubatsira bimanual palpation kuitwa nemaoko maviri.

Kuwanda matambudziko percussion: percussion mhando

Simba percussion hoko kunokanganisa kuparadzira vibrational fambisa panguva nomumativi zvakadzama pamusoro inzwi zvakanyanya uye uwandu mhepo iyo inopepereswa nenzira oscillatory zvitange. Kupiwa zvose percussion rakakamurwa:

- yakadzika (simba kana ruzha);

- pemvura (simba kana kunyarara).

Deep (zvakakomba) zvinyama percussion inopa oscillation pakati pemvura kuti 5 masendimita zvakadzama -. 6 masendimita Acoustic bhora pose (simba) percussion duku kaviri pane simba. Zvichienderana lesion vhoriyamu, kudzika uye nzvimbo yacho vanotapukirwa kuongororwa chiremba anogona kushandisa kana kupfuura, kana zvishoma zvikuru percussion.

Percussion zvinoita mhando

1. Clear zvemapapu inzwi kana akarova pasi chipfuva zvakananga pamusoro pechiso mumapapu.
2. The femoral, kana patainzwa inzwi kana akarova kunoitika pamusoro gobvu airless nhengo uye munyama.
3. Decorated tympanic kurira pamusoro percussion kunoratidzwa vozduhosoderzhaschih nhengo dzakadai dokeriro, trachea kana ura.

Clinical kushandiswa percussion

By kugadzwa emit zviviri percussion:

- kuenzaniswa, unosanganisira kushandisa kungoshandawo percussion Kurohwa por zvakafanana, ichibata nhengo kudzidza nzvimbo. Inowanzoshandiswa Kuongorora mumapapu.

- topographical, kutsanangura miganhu uye kukura miviri uye racho izvi kuti miganhu muviri pamusoro. Topographic percussion kunoda pasi penyika percussion uye kushandisa pfupi ranwa.

Percussion mwoyo kuziva saizi, chimiro uye nzvimbo mumuviri uye vascular masumbu. Mwoyo ndiwo tsandanyama nhengo, airless, izere neropa, saka Mhedziso upenzi percussion bhendi inzwi iri mikukutu. Kurudyi kwayo akafuka chiedza - muviri ine mhepo, uye saka kuridza munzvimbo ino zvichabviswa zvokomara. Kazhinji, mwoyo percussion akaita ari kumira kana akagara chinzvimbo nemaoko ake, mweya panguva iyoyo inofanira kuva akadzikama.

Percussion chiropa somunhu gobvu muviri, achipa patainzwa inzwi kana percussion. Percuss zvinofanira kuva pamusoro, apo kurira zvakajeka uye kutevera pasi kusvikira sevakagurika inzwi. Audio Swap ndechekuti chiropa iri pamwe kuchizvivanza chiedza. Percussion chiropa hazvo kuitwa munhu chinjikira chinzvimbo. Topographical varipo vari mbabvu uye mitsara tote ndokunge thorax. Pashure percussion vanofanira palpation, kana muviri kunzwa, iyo anobvumira kuona kuchinja kusachinja-chinja, chimiro uye pose chiropa, kunorwadza nzvimbo, anobvumira kuti vaone rezasi muviri kumuganhu.

Kuona nzvimbo mapapu ari mubhokisi uye ukama nedzimwe nhengo vachava topographic percussion pamusoro mumapapu. Norma percussion kurira pamusoro zvemapapu rinenge - zvakajeka inzwi. Ndiyo nzvimbo chete percussion kuridza pachena mumuviri wose. Palpation pechipfuva kuziva chimiro chayo, kunorwadza nzvimbo, kuzvidzivirira uye izwi tremor. Manzwiro yakaitwa nemaoko maviri panguva imwe chete. Zvakaziviswa zvinorwadza nzvimbo probed kwazvo. Kana chipfuva iri kuzo nemishonga iri nyore compressed, izvozvo svidetelstveut ayo degradability uye elasticity, zvokuti vasingambooni chakaipa nazvo. Unogona nepavaigona zvose mberi uye neshure, vari symmetrically akaisa maoko ake, uye kumativi, apo mazamu zvikuru raichinja-chinja.

Kunyanya percussion vana

Percussion nevana, kunyanya gore upenyu rokutanga, zvinoda yakarurama chiremba sezvo zvitunha varwere zvidiki, dzakaonda chipfuva rusvingo uye ganda riri akatunhidzwa kwazvo.

In kudzidza chiedza zvinokosha mari chaiyo kuteerera mamiriro ezvinhu mwana, umo mubhokisi riri papi symmetrically. Kunanga percussion rinoshandiswa kana kuongorora vana vakura, vana vaduku vaishandisawo zvakananga. Backrest tapping ukama kana vakagara vayambuka nemakumbo, ari lateral pose chipfuva - iri vakagara munzvimbo, nezvombo akawedzera pamberi kana shure ruzivo, uye mazamu - panzvimbo supine chinzvimbo.

Percussion anogona chete unyarare: munwe, zvigunwe kana pedyo. High uye akajeka percussion ruzha vana vaduku ndiyo vasingambooni chakaipa nazvo. zvinogona kuchinja mune tympanic nenguva yokuchema.

Percussion: mukuru mitemo

1. The kamuri inofanira kuva noushamwari uye akanyarara.
2. Nzvimbo chiremba - anotakurika.
3. Murwere zvinoenderana nezera uye kwokuomerwa mamiriro. Vzroly munhu anogona kumira kana kugara chinyararire ari kupfuura wakasununguka nzvimbo. Vacheche mu akarurama nzvimbo inofanira kuchengeta, vakabata naye amai.
4. Percussing kupfeka muviri.
5. Maoko yachiremba - hwoushamwari, yakaoma uye yakachena.
6. Percussion furidza inofanira kuva nyore, nesimba chete, pfupi kwakavharwa nenyama.
7. Nzara, conductive percussive pakurohwa kuva pfupi.

Palpation uye percussion - yokurapa kuongorora nhengo dzomukati nzira kuti kubvumira chinangwa vanoongorora chinzvimbo chavo uye chinzvimbo, vachikumbira kutarisira yachiremba uye kutarisirwa.